Passport Advantage (HMO D-SNP)
Available to residents of Owen County, KY for 2026. Contract H1799, plan 003, segment 2.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 6 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H1799-003-2 |
| Offered by | Passport Advantage |
| Parent organization | Molina Healthcare, Inc. |
| Formulary drugs | 3,522 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 4 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H1799 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | 20% |
| Tier 3 | 20% |
| Tier 4 | 30% |
| Tier 5 | 25% |
| Tier 6 | $0.00 |
Also available in 65 other KY counties
- Adair
- Anderson
- Barren
- Bath
- Bourbon
- Boyle
- Bracken
- Breathitt
- Breckinridge
- Butler
- Carroll
- Carter
- Casey
- Clark
- Cumberland
- Edmonson
- Elliott
- Estill
- Fayette
- Fleming
- Franklin
- Gallatin
- Garrard
- Grant
- Grayson
- Green
- Hancock
- Harrison
- Hart
- Jackson
- Jessamine
- Larue
- Lawrence
- Lee
- Lewis
- Lincoln
- McLean
- Madison
- Magoffin
- Marion
- Menifee
- Mercer
- Metcalfe
- Monroe
- Montgomery
- Morgan
- Nicholas
- Ohio
- Owsley
- Pendleton
- Powell
- Pulaski
- Robertson
- Rockcastle
- Rowan
- Russell
- Scott
- Taylor
- Trimble
- Union
Plan facts come from the CMS quarterly prescription drug plan public use files.